Orde Day Care | Infant Room Waiting List Application Question Title * 1. Contact Information First Name Last Name Address City Province Postal Code Country Email Telephone Question Title * 2. Please enter the date you would like care to begin Date Date Question Title * 3. Child's Name (if known) First Name Last Name Question Title * 4. Please enter your child's date of birth or expected date of birth Date Date Question Title * 5. Gender of child? (if known) Question Title * 6. If we are unable to provide you a space in our infant program would you like to remain on the list for a toddler space? Yes No Question Title * 7. You understand that we give priority to families who reside in the boundaries of Orde Public School Yes No Question Title * 8. You understand that if we should contact you for a space we request that you respond within 48 hours of receiving an email from the centre offering you space. If you do return our email we will remove you from our waiting list Yes No Add to Waiting List